Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $66.95 / $1,377.65	Facility		$21.25	$66.95	$1,377.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $15.09 / $32.20	Professional		$11.78	$15.09	$32.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $11.04	Professional		$9.19	$9.19	$11.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $43.04 / $176.52	Facility		$24.84	$43.04	$176.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.70 / $14.17	Professional		$3.50	$12.70	$14.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $44.01 / $84.88	Facility		$14.89	$44.01	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $21.06 / $27.88	Professional		$9.43	$21.06	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $28.93 / $223.22	Professional		$19.32	$28.93	$223.22
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $23.92 / $23.92	Professional		$23.92	$23.92	$23.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.62 / $23.00	Professional		$9.19	$12.62	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $11.04 / $18.95	Professional		$7.73	$11.04	$18.95